<!doctype html>
<html>
<head>
<meta charset="utf-8">
<title>护士表格</title>
  <#assign base=request.contextPath  />
    <link rel="stylesheet" href="${base}/js/layui/css/layui.css" media="all">
    <script src="${base}/js/jquery.min.js"></script>
<style type="text/css">
	table{
		margin:10px;
	}
</style>
</head>
<style>
    input{
        border: none;
        text-align: center;
        width: 100%;
    }
    table {

        border-collapse: collapse;
        border-spacing: 0;
        width: 100%;

    }
    #createtime{
        width:150px;
    }
</style>
<body>
<p style="margin-left: 10px;">
	<span>查房记录时间：</span>
	<span>2018年10月11日</span>
</p>
<table  border="1" align="left" cellpadding="0" cellspacing="0">
  <tr>
    <td width="80" height="40" rowspan="2" align="center">房间号:</td>
    <td width="80" height="40" rowspan="2" align="center">
        <input type="text" id="room_name"/>
    </td>
    <td width="80" height="40" align="center">妈妈姓名</td>
    <td width="80" height="40" align="center">
        <input type="text" id="username"/>
    </td>
    <td width="80" height="40" align="center">产妇入住天数</td>
    <td width="80" height="40" align="center">
        <input type="text" id="days"/>
    </td>
    <td width="80" height="40" align="center">责任护士</td>
    <td width="80" height="40" align="center">
        <input type="text" id="responsible"/>
    </td>
    <td width="80" height="40" align="center">班次</td>
    <td width="80" height="40" align="center">
        <input type="text" id="shift"/>
    </td>
    <td width="80" height="40" align="center">分娩时间</td>
    <td width="80" height="40" align="center">
        <input type="text" id="deliverTime"/>
    </td>
  </tr>
  <tr>
    <td width="80" height="40" align="center">宝宝姓名</td>
    <td width="80" height="40" align="center">
        <input type="text" id="name"/>
    </td>
    <td width="80" height="40" align="center">宝宝入住天数</td>
    <td width="80" height="40" align="center">
        <input type="text" id="day"/>
    </td>
    <td width="80" height="40" align="center">育婴师</td>
    <td width="80" height="40" align="center">
        <input type="text" id="babynursery"/>
    </td>
    <td width="80" height="40" align="center">护理类型</td>
    <td width="80" height="40" align="center">
        <input type="text" id="ofnursing"/>
    </td>
    <td width="80" height="40" align="center">分娩方式</td>
    <td width="80" height="40" align="center">
        <input type="text" id="delivery"/>
    </td>
  </tr>
</table>
<table border="1" align="left" cellpadding="0" cellspacing="0">
  <tr>
    <td height="40" colspan="8" align="center"><strong>产妇</strong></td>
  </tr>
  <tr>
    <td width="80" height="40" align="center">血压mmHg</td>
    <td width="80" height="40" align="center">
        <input type="text" id="bloodpressure"/>
    </td>
    <td width="80" height="40" align="center">脉搏</td>
    <td width="80" height="40" align="center">
        <input type="text" id="pulse"/>
    </td>

    <td width="80" height="40" align="center">体温</td>
    <td width="80" height="40" align="center">
        <input type="text" id="temperature1"/>
    </td>
    <td width="80" height="40" align="center">备注:</td>
    <td width="408" height="40" align="center">
        <input type="text" id="remarks1"/>
    </td>
  </tr>
  <tr>
    <td height="40" colspan="8" align="center"><strong>宝宝</strong></td>
  </tr>
  <tr>
    <td width="80" height="40" align="center">体温</td>
    <td height="40" colspan="2" align="center">
        <input type="text" id="temper"/>
    </td>
    <td width="80" height="40" align="center">黄疸mg/dl</td>
    <td height="40" colspan="2" align="center">
        <input type="text" id="jaundice"/>
    </td>
    <td width="80" height="40" align="center">备注:</td>
    <td height="40" align="center">
        <input type="text" id="remarks2"/>
    </td>
  </tr>
</table>
<table border="1" align="left" cellpadding="0" cellspacing="0">
  <tr>
    <td width="80" rowspan="8" align="center"><p>护</p>
    <p>士</p>
    <p>查</p>
    <p>房</p></td>
    <td width="80" rowspan="4" align="center">早交班</td>
    <td width="818" height="40" align="center"><strong>产妇</strong></td>
  </tr>
  <tr>
    <td height="80" align="right" >签名:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
  </tr>
  <tr>
    <td height="40" align="center"><strong>宝宝</strong></td>
  </tr>
  <tr>
    <td height="80" align="right">签名:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
  </tr>
  <tr>
    <td width="80" rowspan="4" align="center">晚交班</td>
    <td height="40" align="center"><strong>产妇</strong></td>
  </tr>
  <tr>
    <td height="80" align="right">签名:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
  </tr>
  <tr>
    <td height="40" align="center"><strong>宝宝</strong></td>
  </tr>
  <tr>
    <td height="80" align="right">签名:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
  </tr>
  <tr>
    <td colspan="2" rowspan="4" align="center">医生查房</td>
    <td height="40" align="center"><strong>产妇</strong></td>
  </tr>
  <tr>
    <td height="80" align="right">签名:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
  </tr>
  <tr>
    <td height="40" align="center"><strong>宝宝</strong></td>
  </tr>
  <tr>
    <td height="80" align="right">签名:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
  </tr>
</table>
<table border="0" align="left" cellpadding="0" cellspacing="0">
  <tr>
    <td width="500" height="40" align="center">产妇签字:</td>
    <td width="400" height="40" >签字日期:</td>
    <td width="85" height="40" align="right" >
    	<button style="width: 80px; height: 30px;background-color:#F2F2F2;">保存</button>
    </td>
  </tr>
</table>
</body>
</html>
